Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › DURHAM › PRIVATE DIAGNOSTIC CLINIC, PLLC

PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI: 1285916635 · DURHAM, NC 27703 · Ophthalmology Physician · NPI assigned 09/12/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FREDERICK, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$44K
Total Medicaid Paid
569
Total Claims
562
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialFREDERICK, CHRISTOPHER (CFO)
NPI Enumeration Date09/12/2011

Related Entities

Other providers sharing the same authorized official: FREDERICK, CHRISTOPHER

ProviderCityStateTotal Paid
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $46.44M
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $4.43M
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $3.21M
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $2.94M
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $846K
PRIVATE DIAGNOSTIC CLINIC, PLLC FAYETTEVILLE NC $832K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $706K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $704K
PRIVATE DIAGNOSTIC CLINIC, PLLC GREENSBORO NC $669K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $425K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $262K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $232K
PRIVATE DIAGNOSTIC CLINIC, PLLC LUMBERTON NC $216K
PRIVATE DIAGNOSTIC CLINIC, PLLC BURLINGTON NC $170K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $148K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $87K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $78K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $73K
PRIVATE DIAGNOSTIC CLINIC, PLLC LAURINBURG NC $72K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $52K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 177 $14K
2019 367 $29K
2020 12 $486.78
2021 13 $171.22

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0620 Routine ophthalmological examination including refraction; new patient 249 248 $24K
S0621 Routine ophthalmological examination including refraction; established patient 214 214 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 34 32 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27 24 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 17 $904.06
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 12 $171.22